Social Support and Use of Mental Health Services By Mexican Americans and Non-Hispanic Whites

It has been hypothesized that lack of social resources is associated with use of professional mental health services. Social resources may also have different relationships to mental health service use in cultural groups whose attitudes about use differ. This study tested these hypotheses using survey data from 1,149 non-Hispanic Whites and 1,244 Mexican Americans. The unmarried were more likely than the married to seek help from informal sources. People with little social support from their spouse or relatives were more likely to consult professional providers. Associations of social resources with help seeking did not decrease substantially when psychiatric disorder was controlled, suggesting that these relationships are direct, rather than being mediated by effects of soda1 support on mental health status. Social resources had similar associations with help seeking among Mexican Americans and non-Hispanic Whites.     

Race differences in professional help seeking

Using data from two national surveys, findings from this research indicated that blacks were more likely than whites to seek help from mental health professionals, particularly for economic and physical health problems. Blacks also sought help more often than whites from other sources of professional help, such as teachers, lawyers, social workers and emergency rooms. On the other hand, whites were more likely to seek help from medical sources for all types of problems, and from clergy members.     

United States and Japanese college students' attitudes toward seeking professional psychological help

The purpose of the study was to find how nationality, sex, and past experience of seeking professional psychological services are related to attitudes toward seeking professional psychological help. Three hundred Japanese college students and 300 US college students responded to the Attitudes Toward Seeking Professional Psychological Help (ATSPPH) questionnaire. The ATSPPH consists of four subscales: Need (recognition of need), Stigma Tolerance (the degree of tolerance against stigma associated with help‐seeking action), Openness (interpersonal openness), and Confidence (confidence in mental health professionals). As predicted, past experience of seeking professional psychological service and sex were important predictor variables of performance on the ATSPPH scales. Those who had past experience of seeking professional psychological help had more favourable attitudes toward seeking professional psychological help than those who never consulted psychological professionals. Similarly, in testing the past experience separately with the two nation groups, past experience with seeking professional psychological services was found to be a predictor of the overall attitudes toward seeking professional psychological help among Japanese and US participants. Furthermore, Japanese participants with past experience also showed greater recognition of need for professional psychological help and confidence in psychological health professions than Japanese without past experience. The degree of stigma tolerance associated with help‐seeking behaviour and the tendency of interpersonal openness, however, did not differ between Japanese participants with and without the past experience of seeking professional psychological services. The same results were also found among the US participants. In terms of sex as a predictor variable, females tended to have more positive attitudes toward seeking professional psychological help than males. There was a significant nationality by sex interaction effect. US females had significantly more favourable attitudes than the other three groups, indicating that there was sex difference in help‐seeking attitudes in the US group, but not in the Japanese group. If the sex variable is ignored, Japanese students have less favourable overall attitudes toward seeking professional psychological services than US students. Other results and limitations of the study are discussed.     

Professional help use among Black Americans: Implications for unmet need

Previous findings on black utilization have been largely obtained from racial comparison studies. Little attention has been paid to sociodemographic differences or the social psychological processes that affect help-seeking behavior within the black group. The present study analyzed data obtained from a national probability sample of the black population. A multidimensional contingency table analysis revealed that problems experienced by the lower income group were more serious than those experienced by the upper income group. Low-income respondents were also more likely to state that their personal distress was caused by a physical health problem. Income, however, was not related to the decision to seek professional help. The implications of these findings for understanding black illness behavior and the underutilization of services was discussed.     

Konsumenten illegaler Internet-Pornographie – psychische Auffälligkeiten und Risiken der Straffälligkeit

Internet sex offending, especially child pornography, is widespread and numbers of convictions are increasing steadily worldwide. The still sparse data from research as well as empiricism from risk assessment and therapeutic work suggest the following: Internet sex offender as well as child abusers are represented in all social classes and all age ranges. Both show similarities in dependent, avoidant and partially schizoid social interaction as well as in anxiety. However the personality organisation of child abusers is usually less structured and tends towards personality disorder, especially with emotionally instable and antisocial traits. Usually pedophilia can be diagnosed in child abusers. Internet sex offenders on the other hand have fewer prior convictions, are less likely to fail in the community, have a very low risk of sexual recidivism and only part of them fulfil the diagnostic criteria for pedophilia. There is no clear evidence for an escalation from internet sex offending to child abuse. The essential characteristics for an escalation are well known and should lead to immediate therapeutic intervention as well as psychological strain should. Only few institutions worldwide provide professional help to support the ones concerned to reduce stigma and thus prevent recidivism and child abuse.     

Adolescents who need help the most are the least likely to seek it: the relationship between low emotional competence and low intention to seek help

It has been found that university students who were the least skilled at managing their emotions also had the lowest intention of seeking help from a variety of nonprofessional sources (e.g. family and friends). The present study sought to extend these findings by focusing on adolescents, examining a larger number of emotional competencies, and exploring the possibility that social support explains the relationship between emotional competence and help-seeking. A total of 137 adolescents (aged 16-18) completed an anonymous survey that assessed social support, emotional competencies, and intention to seek help from a variety of professional and nonprofessional sources. As expected, adolescents who were low in emotional awareness, and who were poor at identifying, describing, and managing their emotions, were the least likely to seek help from nonprofessional sources and had the highest intention of refusing help from everyone. However, low emotional competence was not related to intention to seek help from professional sources (e.g. mental health professionals). The significant results involving nonprofessional sources were only partially explained by social support, suggesting that even adolescents who had high quality support were less likely to make use of that support if they were low in emotional competence.     

Perceived control,causality, expectations and help-seeking behaviour

Undergraduates recruited from an introductory psychology course who were currently not seeking professional help (n=81) were compared with a comparable sample seeking professional help at a university psychological services centre (n=53). Participants answered an assessment instrument with reference to the problem currently upsetting them most. As hypothesized, those students seeking help tended to internalize causality, report lower levels of perceived control over their problems, and consider themselves more likely to expend time and energy in resolving their problem. Contrary to expectations, the groups did not differ in optimism about problem resolution. Results from an exploratory analysis of perceptions about the nature of professional and non-professional help are also reported. The findings, consistent with previous research, underscore the importance of differentiating the constructs of locus of control, causal attributions, and perceived control in studying mediators of help-seeking behaviour.     

Attitudes of Southern Women: Selected Group Comparisons

Questionnaire data from 100 white women in a Southern city were examined to learn whether women belonging to groups that focus on social change or business and professional concerns were less traditional in their attitudes and behavior patterns than women who affiliate with groups that share common religious beliefs or similar socioeconomic status and whose stated purpose has a social orientation. Women belonging to the first category of groups were more likely than the other women to combine employment with marriage and children, to have help from husbands with household duties, and to support the Equal Rights Amendment.     

Are Transgender Persons at Higher Risk for HIV Than Other Sexual Minorities? A Comparison of HIV Prevalence and Risks

SUMMARY

Recent studies have shown that transgender people are at high risk for HIV. Few studies, however, have directly compared the HIV risks and sexual health of transgender persons with that of other sexual minority populations. This study used baseline data of intervention studies targeting transgender persons, men who have sex with men, and women who have sex with women and men to compare their HIV risk behavior and sexual health. No significant differences were found between transgender persons and nontransgender men or women in consistent condom use or attitudes toward condom use. Transgender persons were less likely to have multiple partners and more likely to be monogamous than men who have sex with men; no differences were found between transgender persons and the women in this respect. When combining data on condom use, monogamy, and multiple partners, transgender persons did not differ from either nontransgender group in their overall risk for HIV. Transgender persons were less likely than the men or the women to have been tested for HIV. With regard to HIV prevalence, 17% of the men compared to only one transgender person and none of the women reported being HIV-positive. Transgender persons were also less likely than men who have sex with men to use drugs; no differences were found in the use of alcohol. However, with regard to mental health, transgender persons were more likely than the men to have experienced depression and more likely than men or women to have considered or attempted suicide. Finally, transgender persons reported the lowest levels of support from family and peers. Thus, in our sample, transgender persons appear to be at lower risk for HIV but at higher risk for mental health concerns than men who have sex with men. Remarkably few differences were found between transgender persons and women who have sex with women and men-a finding which might reflect the impact of social stigma on sexual health and have implications for the design of future HIV/STI prevention efforts.     

Predictors of Condom Use in Mexican Migrant Laborers

The purpose of this study was to explore predictors of condom use with occasional sex partners and regular sex partners, as well as carrying condoms in a new high-risk group for HIV infection, Mexican migrant laborers. This study extends previous findings by (1) exploring additional predictors not previously examined, (2) utilizing a large sample of male and female Mexican migrant laborers, (3) carefully controlling for the effects of various demographic and lifestyle variables related to condom use, and (4) assessing the interactive effects of gender on predictors of condom use. Snowball sampling was used to survey 501 adult Mexican migrant laborers. Results revealed that condom use with occasional sex partners was predicted by carrying condoms and condom self-efficacy and that women were more likely to use condoms with occasional partners when both men and women knew someone with HIV/AIDS. Condom use with regular sex partners was predicted by procondom social norms, less negative attitudes toward condoms, not knowing someone with HIV/AIDS, and condom self-efficacy. Carrying condoms was predicted by procondom social norms, less negative attitudes toward condoms, condom self-efficacy, worry about contracting HIV/AIDS, and women were more likely than men to carry condoms when both men and women were married. Understanding these findings, future research directions, and implications for condom promotion strategies with Mexican migrant laborers are discussed.     

Effects of gender and sex role orientation on help-seeking attitudes

This study investigated the effects of gender and sex role orientation (masculinity and femininity) on attitudes toward seeking professional psychological help in a sample of 163 student trainee teachers (52 males and 111 females) in Singapore. The mean age of students was 25.39 years (SD = 3.80). ANOVAs revealed statistically significant main effects for gender and femininity on attitudes toward help-seeking. Specifically, females were reported to have more positive overall attitudes toward professional help-seeking and were more willing to recognize a personal need for professional help compared to males. Femininity significantly influenced students’ level of stigma tolerance. These findings suggest that both gender and sex role orientation play an independent role in influencing help-seeking attitudes. In addition, these variables appear to have a differential impact on different aspects of helpseeking.     

Effects of gender and sex role orientation on help-seeking attitudes

This study investigated the effects of gender and sex role orientation (masculinity and femininity) on attitudes toward seeking professional psychological help in a sample of 163 student trainee teachers (52 males and 111 females) in Singapore. The mean age of students was 25.39 years (SD = 3.80). ANOVAs revealed statistically significant main effects for gender and femininity on attitudes toward help-seeking. Specifically, females were reported to have more positive overall attitudes toward professional help-seeking and were more willing to recognize a personal need for professional help compared to males. Femininity significantly influenced students’ level of stigma tolerance. These findings suggest that both gender and sex role orientation play an independent role in influencing help-seeking attitudes. In addition, these variables appear to have a differential impact on different aspects of helpseeking.     

Body Use and Reference Group Impact: With Whom Do We Compare Our Bodies?

Fifty U.S. Olympic speedskating team members, 50 professional models, and 80 college students completed the Body Esteem Scale (BES: Franzoi & Shields, 1984) and indicated for each of the 35 BES items whether when evaluating themselves they most frequently use as a comparison standard same-sex people in general, same-sex professional models, or elite same-sex athletes. Consistent with social comparison theory that people seek similar others as comparison targets, college students were more likely than Olympic athletes or professional models to compare themselves to people in the general population, athletes were more likely than students or models to compare themselves to elite athletes, and models tended to be more likely than students or athletes to compare themselves to elite models. As hypothesized, college women more frequently than college men compared themselves to professional models when evaluating body aspects associated with weight concern and sexual attractiveness, and the more female skaters’ compared themselves to models, the more their negative body attitudes associated with weight concern increased and the more interested they were in changing weight-related body aspects.     

Gender,status and the use of power strategies

The present study examined the effects of gender and status on the use of power strategies. The experiment consisted of a computer‐based problem‐solving task performed in pairs, where participants interacted with simulated long‐distance partners. Participants were 36 female and 38 male undergraduate students, who were assigned to be influencing agents and were required to convince their partners to accept their help in the problem‐solving process. Status was manipulated by the extent to which partners were dependent upon the participants' resources. Partners were either same sex or other sex. Results indicated an interactive effect of agent gender by status. Men used more frequently ‘masculine’‐typed and less frequently ‘feminine’‐typed strategies than did women in low status positions, whereas in high status positions no significant gender differences in power strategy choices were found. These findings suggest that gender differences and similarities vary according to social contexts. Implications of the findings for both theory and practice are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

Social influence techniques during marital conflict

The use of social influence techniques was examined in two studies of marital conflict. In each study, couples discussed two issues in counterbalanced order: one in which the husband wanted change and one in which the wife wanted change. Interactions were coded for the use of influence techniques. Evidence from both studies supported a social role explanation, such that roles based on who wanted change predicted the use of influence, whereas gender did not. Secondary hypotheses based on attribution theory and schema theory were also supported. When discussing areas in which they wanted change in partners, spouses made more partner attributions, were more likely to suggest change, and were more likely to explain their partners’behavior than when discussing areas in which their partners wanted change. However, they were more likely to ask questions to clarify the problem when discussing a change their partners wanted in them than when discussing a change they wanted. The importance of considering social structural variables such as social roles in examining conflict interactions is discussed.     

Choice of Therapeutic Approaches as a Function of Sex of Subject, Type of Problem, and Sex and Title of Helper

A study was carried out using 96 subjects to discover how their preferences for four therapeutic approaches varied as a function of their sex, the type of problem they were asked to imagine they had (intimate or work/academic), and sex and title (counsellor or psychotherapist) of the professional from whom they would seek help. The four approaches used were: psychoanalytic therapy, cognitive-behavioural therapy, humanistic therapy, and a 'common-sense' approach consisting of responses typically given by non-professional helpers (e.g. friends and relatives). The results showed that the cognitive-behavioural approach was preferred overall, closely followed by the humanistic approach; the common-sense approach and psychoanalytic therapy were given the lowest ratings. However, interactions showed the picture to be more complex than this: women preferred female helpers, with men having no particular preferences; and the type of approach subjects preferred depended to some extent on the type of problem they had and the title of the helper consulted. The results suggest that counselling centres should be staffed with helpers of both sexes and differing theoretical backgrounds, so as to give clients as wide a choice of therapeutic help as possible.     

Predictors of Coping with Work Stress: The Influences of Sex,Gender Role,Social Desirability,and Locus of Control

This investigation examined the influence of 4 personal attributes—sex, gender role, social desirability, and locus of control—as predictors of coping with work stress. Participants were 208 employed adult students (154 females and 54 males), primarily European Americans (90.4%) from working-class backgrounds. Theresults indicated that men were more likely to use alcohol and women more likely to use direct action. Femininity and/or masculinity scores predicted control-related coping butwere unrelated to escape-related coping. High social desirability scores predicted direct action coping, whereas low scores predicted alcohol use. In terms of locus of control, an internal orientation predicted help-seeking and positive thinking, a powerful others orientation predicted avoidance/resignation, and a chance orientation predicted alcohol use.     

Helping: The Influence of Anticipated Social Sanctions and Self-Monitoring

ABSTRACT A field experiment was conducted to examine the influence of social sanctions and self-monitoring on willingness to help handicapped persons Compared to low self-monitoring individuals, those high in self-monitoring tendencies were more likely to offer help if told that significant social rewards were attached to the act of helping, but were less likely to help if led to believe that these consequences were weak Implications for research on helping and self-monitoring are considered with particular attention being given to the relationship between social sanctions and self-monitoring     

Sex differences in depressive symptom expression and help-seeking among college students

Considerable controversy has emerged around the issue of sex differences in depression. A recent study of a large sample of young, unmarried college student found no sex differences in degree of depression as measured by the Beck Depression Inventory, and yet significant sex differences emerged in the patterns of symptoms expressed by the most depressed subsample. It was speculated that sex differences in symptom expression may lead to sex differences in self-presentation, help-seeking, and evaluation by professionals — eventuating in predominance of women treated for depression. Two studies were conducted to clarify these issues. The first study attempted to replicate the findings on a similar large sample of college students using discriminant function analysis of male and female responses to the D30 subscale of the Depression scale of the MMPI. The results confirmed the previous finding that depressed men in a college population are more likely to express social withdrawal, cognitive and motivational deficits, and somatic concerns. Depressed women are characterized on the D30 by a lack of confidence, a lack of concern for what happens to them, and being hurt by criticism. The second study examined possible sex differences in the self-labeling of depression, attitudes toward seeking help for depression, and actual help-seeking behaviors. Men and women did not differ in willingness to report depression. However, there were clear sex differences in both help-seeking attitudes and reported behaviors, with men more reluctant to seek help.     

Mothers’ and Fathers’ Reluctance to Seek Psychological Help for Their Children

We investigated the gap between parents’ willingness to seek help for their children and their willingness to refer other parents to help, and the relationship of this gap to gender. Two hundred and eleven parent couples with elementary-school children reported their willingness to seek help from professional and informal sources for a hypothetical problem with their child, and their willingness to refer a friend’s child with an identical problem to similar help. Attitudes toward help seeking and parental behaviors were also measured. Findings revealed that parents were more willing to refer a friend’s child to professional help than they were to seek such help for their own child, although no gap was found regarding informal help. No gender differences were found regarding willingness to seek help or to refer another, although gender was related to variables that predicted help seeking.